The Cause of Mortality Among Congenital Heart Disease Patients in Pediatric Ward, Soetomo General Hospital (2004-2006)
Abstract
Background. Congenital heart disease (CHD) is a significant cause of mortality in pediatric patients. Meanwhile, malnutrition remains a public health problem in Indonesia. Combined with infection, these condition will increase mortality rate of patients with CHD.Objectives.The objective of this study is to describe the cause of mortal-ity among CHD patients who were hospitalized in pediatric ward, Doctor Soetomo General Hospital, Surabaya during period 2004-2006.
Methods. This study is a descriptive evaluation base on Medical Record data.
Results. Of patients hospitalized from 2004 to 2006, 189, 185, and 186 respectively grouped into neonatal, infant, and childhood age. Medical record data in 3 years was described into distributive frequency and cross table. Ventricular septal Defect (VSD), Tetralogy of Fallot (TOF), Atrial Septal Defect (ASD), and Patent Ductus Arteriosus (PDA) were the four major CHD. Hospital mortality rate was 11,64% (2004), 11,35% (2005), and 13,44% (2006), infant were the main portion 72,73% (2004), 76,19% (2005), 64% (2006). Respiratory and cardiac failure were two leading cause of death. Fifty percent of death case was underlied by pnemonia and bron-chiolitis. VSD, ASD and TOF were the most common CHD associated with mortality. Death rate was significantly high in malnourished patients, from 2004 to 2006: 45,45% (10/22), 66,67% (14/21), and 72% (18/25) respectively.
Conclusions.High mortality rate in our patients with with CHD were associated with age (first year of life), respiratory infections (pnemonia, bronchiolitis), and malnutrition.
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References
http://www.mamashealth.com/heart_disease.asp
Bernstein D. Epidemiology and genetic basis of congenital heart disease. In : Behrman RE, Kliegman RM, Jenson HB, eds. Nelson Textbook of Pediatrics. Philadelphia : WB Saunders; 2004:1499-1502
BPS. Beberapa indikator penting mengenai Indonesia. Informasi umum dan indikator penting Indonesia. Jakarta; 2005:1-2
BPS Propinsi Jawa Timur. Proyeksi penduduk pertengahan tahun menurut kabupaten/kota. Jawa Timur dalam angka 2006. Mitra Guna; 45
BPS Kota Surabaya. Banyaknya kelahiran menurut jenis kelamin per kecamatan. Surabaya dalam angka 2005/2006. Waskita Tunggal; 83
Bernstein D. Acyanotic congenital heart disease: the left to right lesions. In : Behrman RE, Kliegman RM, Jenson HB, eds. Nelson Textbook of Pediatrics. Philadelphia : WB Saunders; 2004:1503-1513
Bernstein D. Acyanotic congenital heart disease: the obstructive lesions. In : Behrman RE, Kliegman RM, Jenson HB, eds. Nelson Textbook of Pediatrics. Philadelphia : WB Saunders; 2004:1513-1521
Bernstein D. Acyanotic congenital heart disease: regurgitant lesions. In : Behrman RE, Kliegman RM, Jenson HB, eds. Nelson Textbook of Pediatrics. Philadelphia : WB Saunders; 2004:1522-1523
Bernstein D. Cyanotic congenital heart disease: lesions associated with decreased pulmonary blood flow. In : Behrman RE, Kliegman RM, Jenson HB, eds. Nelson Textbook of Pediatrics. Philadelphia : WB Saunders; 2004:1524-1534
Bernstein D. Cyanotic congenital heart disease: lesions associated with increased pulmonary blood flow. In : Behrman RE, Kliegman RM, Jenson HB, eds. Nelson Textbook of Pediatrics. Philadelphia : WB Saunders; 2004:1534-1545
Bernstein D. Other congenital heart and vascular malformation. In : Behrman RE, Kliegman RM, Jenson HB, eds. Nelson Textbook of Pediatrics. Philadelphia : WB Saunders; 2004:1545-1548
Goldhagen JL. Child health in the developing world. In : Behrman RE, Kliegman RM, Jenson HB, eds. Nelson Textbook of Pediatrics. Philadelphia : WB Saunders; 2004:12-14
Departemen Kesehatan RI. Kurang gizi. Gizi dalam angka sampai dengan tahun 2003. Jakarta; 2005:7-25
MacDonald NE, Breese Hall C, Suffin SC, Alexson C, Harris PJ, Manning JA. Respiratory syncytial viral infection in infants with congenital heart disease. N Engl J Med.1982; 307 :397–400
Bache A, Garne E. Congenital heart defects in the county of Fyn. Epidemiology and mortality in 1986-1995. Ugeskr Laeger 2002;164(36) :4169-72
http://www.heartstats.org
Panickar JR, Dodd SR, Smyth RL, Couriel JM. Trends in death from respiratory illness in children in England and Wales from 1968 to 2000. Thorax. 2005;60:1035-1038
Acharya G, Sitras V, Maltau JM, et al. Major congenital heart disease in Northern Norway: shortcomings of pre- and postnatal diagnosis. Acta Obstet Gynecol Scand2004; 83(12):1124-9.
Daniels SR. Epidemiology. In : Long WA. Fetal and Neonatal Cardiology. Philadelphia : WB Saunders; 1990:425-439
Carlgen LE. The incidence of congenital heart disease in children born in Gothenburg 1941-1950. Br Heart J. 1959;21:40-50
Feldt RH, Avasthey P, Yoshimasu F, et al. Incidence of congenital heart disease in children born to residents of Olmsted Country, Minnesota 1950-1969. Mayo Clin Proc. 1971;46:794-799
Mitchell SC, Korones SB, Berendes HW. Congenital Heart Disease in 56,109 Births Incidence and Natural History. Circulation.1971;43:323-332
Fonseka P, Wijewardene K, Harendra da Silva DG, et al. Neonatal and post-neonatal mortality in the Galle district. Ceylon Med J.1994;39(2):82-5
Owayed AF, Campbell DM, Wang EL. Underlying causes of recurrent pneumonia in children. Arch Pediatr Adolesc Med. 2000;154:190-194
Moller JH. Incidence of cardiac malformations .In : Moller JH, Neal WA. Fetal, Neonatal, and Infant Cardiac Disease. Connecticut : Appleton & Lange;1990:361-369
Friedman WF, Silverman N. Pathological consequences of congenital heart lesion. In : Braunwald E, Zipes DP, Libby P. Heart Disease (a textbook of cardiovascular medicine). Philadelphia: WB Saunders; 2001:1514
Bernstein D. Epidemiology and genetic basis of congenital heart disease. In : Behrman RE, Kliegman RM, Jenson HB, eds. Nelson Textbook of Pediatrics. Philadelphia : WB Saunders; 2004:1499-1502
BPS. Beberapa indikator penting mengenai Indonesia. Informasi umum dan indikator penting Indonesia. Jakarta; 2005:1-2
BPS Propinsi Jawa Timur. Proyeksi penduduk pertengahan tahun menurut kabupaten/kota. Jawa Timur dalam angka 2006. Mitra Guna; 45
BPS Kota Surabaya. Banyaknya kelahiran menurut jenis kelamin per kecamatan. Surabaya dalam angka 2005/2006. Waskita Tunggal; 83
Bernstein D. Acyanotic congenital heart disease: the left to right lesions. In : Behrman RE, Kliegman RM, Jenson HB, eds. Nelson Textbook of Pediatrics. Philadelphia : WB Saunders; 2004:1503-1513
Bernstein D. Acyanotic congenital heart disease: the obstructive lesions. In : Behrman RE, Kliegman RM, Jenson HB, eds. Nelson Textbook of Pediatrics. Philadelphia : WB Saunders; 2004:1513-1521
Bernstein D. Acyanotic congenital heart disease: regurgitant lesions. In : Behrman RE, Kliegman RM, Jenson HB, eds. Nelson Textbook of Pediatrics. Philadelphia : WB Saunders; 2004:1522-1523
Bernstein D. Cyanotic congenital heart disease: lesions associated with decreased pulmonary blood flow. In : Behrman RE, Kliegman RM, Jenson HB, eds. Nelson Textbook of Pediatrics. Philadelphia : WB Saunders; 2004:1524-1534
Bernstein D. Cyanotic congenital heart disease: lesions associated with increased pulmonary blood flow. In : Behrman RE, Kliegman RM, Jenson HB, eds. Nelson Textbook of Pediatrics. Philadelphia : WB Saunders; 2004:1534-1545
Bernstein D. Other congenital heart and vascular malformation. In : Behrman RE, Kliegman RM, Jenson HB, eds. Nelson Textbook of Pediatrics. Philadelphia : WB Saunders; 2004:1545-1548
Goldhagen JL. Child health in the developing world. In : Behrman RE, Kliegman RM, Jenson HB, eds. Nelson Textbook of Pediatrics. Philadelphia : WB Saunders; 2004:12-14
Departemen Kesehatan RI. Kurang gizi. Gizi dalam angka sampai dengan tahun 2003. Jakarta; 2005:7-25
MacDonald NE, Breese Hall C, Suffin SC, Alexson C, Harris PJ, Manning JA. Respiratory syncytial viral infection in infants with congenital heart disease. N Engl J Med.1982; 307 :397–400
Bache A, Garne E. Congenital heart defects in the county of Fyn. Epidemiology and mortality in 1986-1995. Ugeskr Laeger 2002;164(36) :4169-72
http://www.heartstats.org
Panickar JR, Dodd SR, Smyth RL, Couriel JM. Trends in death from respiratory illness in children in England and Wales from 1968 to 2000. Thorax. 2005;60:1035-1038
Acharya G, Sitras V, Maltau JM, et al. Major congenital heart disease in Northern Norway: shortcomings of pre- and postnatal diagnosis. Acta Obstet Gynecol Scand2004; 83(12):1124-9.
Daniels SR. Epidemiology. In : Long WA. Fetal and Neonatal Cardiology. Philadelphia : WB Saunders; 1990:425-439
Carlgen LE. The incidence of congenital heart disease in children born in Gothenburg 1941-1950. Br Heart J. 1959;21:40-50
Feldt RH, Avasthey P, Yoshimasu F, et al. Incidence of congenital heart disease in children born to residents of Olmsted Country, Minnesota 1950-1969. Mayo Clin Proc. 1971;46:794-799
Mitchell SC, Korones SB, Berendes HW. Congenital Heart Disease in 56,109 Births Incidence and Natural History. Circulation.1971;43:323-332
Fonseka P, Wijewardene K, Harendra da Silva DG, et al. Neonatal and post-neonatal mortality in the Galle district. Ceylon Med J.1994;39(2):82-5
Owayed AF, Campbell DM, Wang EL. Underlying causes of recurrent pneumonia in children. Arch Pediatr Adolesc Med. 2000;154:190-194
Moller JH. Incidence of cardiac malformations .In : Moller JH, Neal WA. Fetal, Neonatal, and Infant Cardiac Disease. Connecticut : Appleton & Lange;1990:361-369
Friedman WF, Silverman N. Pathological consequences of congenital heart lesion. In : Braunwald E, Zipes DP, Libby P. Heart Disease (a textbook of cardiovascular medicine). Philadelphia: WB Saunders; 2001:1514
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How to Cite
Cahyono, A., & Rachman, M. (1). The Cause of Mortality Among Congenital Heart Disease Patients in Pediatric Ward, Soetomo General Hospital (2004-2006). Indonesian Journal of Cardiology, 28(4), 279-284. https://doi.org/10.30701/ijc.v28i4.231
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